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. 2000 Apr;5(2):105-9.

Cricopharyngeal myotomy in neurogenic oropharyngeal dysphagia

M T Damati  1 , M A Saadah, S M Al-Natour, M M Nazzal, M A Alhaj Ali, J S Inshasi
Affiliations
  • PMID: 24276726

Cricopharyngeal myotomy in neurogenic oropharyngeal dysphagia

M T Damati et al. Neurosciences (Riyadh). 2000 Apr.

Abstract

Objective: Cricopharyngeal myotomy as an independent procedure has been performed on fourteen patients with a variety of neuromuscular disorders, suffering from neurogenic oropharyngeal dysphagia in the interval between 1994-1997. All of them were referred from a neurophysician or physiatrist after failure of improvement by medical treatment.

Methods: The selection of patients for operation was based mainly on clinical evaluation and simple exclusion criteria without manometric studies.

Results: There was dramatic improvement in twelve, with recurrent laryngeal nerve palsy and temporary pharyngeal fistula in two patients. No mortality was recorded.

Conclusion: We conclude that cricopharyngeal myotomy is a simple, safe and effective procedure with acceptable morbidity. It should be considered as a rehabiliation procedure for patients with dysphagia due to various neurologic disorders based on simple, clinical exclusion criteria without the need for the tedious, time consuming and expensive manometric studies.

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